CENTENNIAL PEDIATRICS, PC (NPI# 1972773612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972773612 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL PEDIATRICS, PC |
| Practice Address |
15464 E. Orchard Road Centennial CO 80016 |
| Practice Telephone | 3036805437 |
| Mailing Telephone | 3036805437 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | DR. MICHELLE KUNTZ STANFORD (PHYSICIAN) |
| Authorized Official Telephone | 3036805437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 38052 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 29303559 | 05 |
| Street Address |
15464 E. ORCHARD ROAD |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1104380443 | Yuki Dykes Dds PC | Dentist | 6240 S Main St., Ste 275, Aurora, CO 80016 | 2019-01-30 |
| 1578038436 | Capitol Peak Home Care Services | Home Health Aide | 16372 E Fremont Ave, Unit 11 Bldg 4, Aurora, CO 80016 | 2018-10-08 |
| 1881190791 | Rehoboth Home Support, LLC | Transportation Broker | 22735 E Frost Pl, Aurora, CO 80016 | 2018-04-02 |
| 1902336514 | Trey Medical Enteprises, Inc. | Family Medicine | 15033 E Maplewood Dr., Centennial, CO 80016 | 2017-06-15 |
| 1598293185 | Rocky Mountain Physicians Group, PC | Clinic/Center | 7460 S Gartrell Rd, Aurora, CO 80016 | 2017-05-26 |
| 1629501358 | Shanah Care Services | Home Health | 6012 S. Telluride Cir, Aurora, CO 80016 | 2017-04-10 |
| 1962888966 | Joseph Kuzemchak | Health Maintenance Organization | 6105 S. Parker Rd, Apt. 8103, Centennial, CO 80016 | 2015-08-03 |
| 1174902738 | Lindsey Moore Baker | Physical Therapist | 6202 S Parker Rd Unit 500, Centennial, CO 80016 | 2015-05-28 |
| 1093107724 | Nathan Mitchell | Specialist/Technologist, Other | 25480 E Hinsdale Pl, Aurora, CO 80016 | 2015-03-04 |
| Find all providers in zip 80016 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710355052 | Pinnacle Medical Partners LLC | Pediatrics | 7074 S Revere Pkwy, Centennial, CO 80112-3932 | 2015-09-03 |
| 1275889123 | Jennifer Mulhausen | Pediatrics | 8200 S Quebec St # A3-798, Centennial, CO 80112-4411 | 2012-07-30 |
| 1649412297 | Jennifer N Tiehen | Pediatrics | 9094 E. Mineral Avenue, Suite 120, Centennial, CO 80112 | 2009-03-28 |
| 1588794325 | Amber E Bisgard | Pediatrics | 5555 E Arapahoe Road, Centennial, CO 80122-2312 | 2007-03-07 |
| 1861505935 | Robert Alan Sachs | Pediatrics | 8010 S Holly St, Suite 200, Centennial, CO 80122-4022 | 2006-08-15 |
| 1952368904 | Michelle Kuntz Stanford | Pediatrics | 15464 E Orchard Rd, Centennial, CO 80016-3005 | 2006-04-26 |
| 1093777054 | Julie Cheng Deckerman | Pediatrics | 9094 E Mineral Cir, Suite 120, Centennial, CO 80112-7200 | 2006-04-05 |
| 1326013053 | Jill E Mason | Pediatrics | 7336 S. Yosemite, Suite 200, Centennial, CO 80112 | 2006-02-17 |
| 1841262409 | Suzanne Lawrence Rogers | Pediatrics | 5657 Himalaya, #100, Centennial, CO 80115 | 2006-02-07 |
| 1053390419 | Carol M Rosckowff | Pediatrics | 6565 S Syracuse Way Apt 301, Centennial, CO 80111-6751 | 2006-01-13 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80016 |
Please comment or provide details below to improve the information on CENTENNIAL PEDIATRICS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.